Abdominal Pain and Constipation in Teenagers - Gastroenterology and Hepatology

Q: Abdominal Pain and Constipation in Teenagers

Hello： If you experience bloating and changes in bowel habits after eating small amounts of food and water, try not to worry too much. <br>Recently, it's important to control your diet, consume appropriate and easily digestible foods and water, and avoid spicy foods as well as th

Abdominal pain and constipation..?

Hello Doctor: I am 16 years old and a female.
Recently, I started feeling discomfort in my abdomen.
Since I have experienced this before, I initially ignored it.
However, my flatulence became very foul-smelling, and I had difficulty with bowel movements.
Last week, the pain in my abdomen became unbearable, so I went to see a doctor.
The doctor performed an X-ray and suggested that I might be constipated.
They administered an IV for pain relief and sent me home with medication (a stool softener and something to help with gastrointestinal motility).
After that, the pain subsided, but I still felt uncomfortable.
Whenever I eat even a little, my stomach feels bloated, and I can't find a comfortable position whether standing, sitting, or lying down; I only feel better when I sleep.
Occasionally, I still experience pain, which is located above my belly button, and sometimes even around the belly button area.
During bowel movements, I feel like I haven't completely emptied my bowels.
I often spend a long time in the bathroom with the urge to go, but I only pass a small amount or none at all.
Initially, my stools were watery, but now they are small and thin.
This week, I lost one kilogram; my weight dropped from 53.6 kg to 52.6 kg.
However, my stomach feels very bloated, and even drinking too much water is uncomfortable.
I am really worried that I might have a serious illness, and this situation is causing me a lot of distress.

Catherine, 10~19 year old female. Ask Date: 2008/07/24

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello: If you experience bloating and changes in bowel habits after eating small amounts of food and water, try not to worry too much.
Recently, it's important to control your diet, consume appropriate and easily digestible foods and water, and avoid spicy foods as well as those containing caffeine.
Sometimes, these symptoms can be caused by gastroenteritis or irritable bowel syndrome, and it may take time for bowel function to recover.
If symptoms persist, it is advisable to seek medical treatment and evaluation.
Wishing you good health, Dr.
Lin Ming-Hui, Taoyuan Hospital, Department of Health.

Reply Date: 2008/07/24

More Info

Abdominal pain and constipation in teenagers can be concerning and often lead to anxiety about underlying health issues. Your symptoms, including persistent abdominal discomfort, foul-smelling gas, and difficulty with bowel movements, are common complaints among adolescents. Let's break down the potential causes and considerations for your situation.

Common Causes of Abdominal Pain and Constipation in Teenagers
1. Functional Gastrointestinal Disorders: Many teenagers experience functional gastrointestinal disorders, such as Irritable Bowel Syndrome (IBS). IBS can cause abdominal pain, bloating, and changes in bowel habits, including constipation. Stress and dietary habits often exacerbate these symptoms.

2. Dietary Factors: A diet high in processed foods, low in fiber, and rich in fats can lead to constipation and abdominal discomfort. If your diet consists of greasy or salty foods with insufficient fruits and vegetables, this could contribute to your symptoms. Increasing fiber intake through fruits, vegetables, and whole grains can help alleviate constipation.

3. Dehydration: Insufficient fluid intake can lead to hard stools and difficulty in bowel movements. It's essential to drink plenty of water, especially if you're consuming a high-fiber diet.

4. Stress and Anxiety: Emotional factors can significantly impact gastrointestinal health. Anxiety and stress can lead to changes in gut motility, causing symptoms like abdominal pain and constipation. If you are feeling overwhelmed or anxious, it may be beneficial to talk to someone about your feelings.

5. Hormonal Changes: As a teenage girl, hormonal fluctuations related to your menstrual cycle can also affect your gastrointestinal system, leading to bloating and discomfort.

6. Underlying Medical Conditions: While less common, certain medical conditions such as celiac disease, inflammatory bowel disease (IBD), or thyroid disorders can cause similar symptoms. If your symptoms persist despite dietary changes and over-the-counter treatments, further evaluation may be necessary.

Recommendations for Management
1. Dietary Changes: Focus on a balanced diet rich in fiber. Incorporate fruits, vegetables, whole grains, and legumes. Avoid excessive consumption of processed foods and sugary drinks.

2. Hydration: Aim to drink at least 8 glasses of water a day. Proper hydration is crucial for digestive health and can help prevent constipation.

3. Regular Exercise: Physical activity can stimulate bowel movements and improve overall digestive health. Aim for at least 30 minutes of moderate exercise most days of the week.

4. Stress Management: Engage in activities that help reduce stress, such as yoga, meditation, or talking to a friend or counselor. Managing stress can have a positive impact on your gastrointestinal symptoms.

5. Consult a Healthcare Provider: Since you have experienced significant discomfort and changes in your bowel habits, it is essential to follow up with a healthcare provider. They may recommend further tests or refer you to a gastroenterologist for specialized care.

6. Monitor Symptoms: Keep a diary of your symptoms, dietary intake, and any stressors. This information can be helpful for your healthcare provider in determining the best course of action.

Conclusion
While your symptoms are understandably distressing, many teenagers experience similar issues that can often be managed with lifestyle changes and medical guidance. It’s crucial to communicate openly with your healthcare provider about your symptoms and any concerns you have. They can help rule out any serious conditions and provide you with the support you need to feel better. Remember, you are not alone in this, and with the right approach, you can find relief from your symptoms.

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